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Anthropometric Measurements and Nutrient Intake Among Type 2 Diabetic Mellitus (T2DM) Patients with Poor Glycaemic Control: A Cross-sectional Survey.

Home > 2025, Vol. 12 No. 1 > Anthropometric Measurements and Nutrient Intake Among Type 2 Diabetic Mellitus (T2DM) Patients with Poor Glycaemic Control: A Cross-sectional Survey.
Published: May 15, 2026 | Views: 124
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Authors

Kavita Kachhawa, Sarla Lakhawat, and Rakesh Kumar Saini

DOI Number
https://doi.org/10.15415/jmrh.2025.121009
Keywords
Type 2 diabetic mellitus, Poor glycaemic control, Dietary pattern, Nutrient intake

Abstract

Background: Effective dietary control is fundamental to man-aging hyperglycaemia in Type 2 Diabetes Mellitus (T2DM), due to its strong impact of nutrition on metabolic health. Persistent chronic hyperglycaemia (HbA1c ≥ 6.5%) in T2DM individuals despite taking regular medication is quite common and may be a reflection of their adopted dietary pattern and existing nutri-tional status.

Purpose: Assessment of diabetes-related information, anthro-pometric measurements, and food intake of T2DM patients with hyperglycaemia (i.e., HbA1c ≥ 6.5%) may help to elucidate their dietary approaches for T2DM management and reasons for el-evated blood glucose levels.

Methods: A sample size of 60 T2DM patients with uncontrolled blood sugar (HbA1c ≥ 6.5%) was selected by purposive sam-pling. Background information, diabetes-related information, anthropometric information, diabetes history, food consumption pattern, and dietary intake were collected by direct interview.

Results: The findings of the present study revealed that the mean age of participants was 51.87 ± 10.92 years with a mean HbA1c level of 8.75%. The mean BMI and WHR were 25.25 ± 4.30 kg/m² and 0.96, respectively, indicating the risk of diabesity. The av-erage daily intake of fats and milk products was high, while cereals, pulses, green leafy vegetables, roots and tubers, other vegetables, and sugars were below the recommended levels. Participants tended to reduce their energy intake (1747.51 ± 369.71 kcal/day). Micronutrient intake such as Ca, Fe, Zn, vita-min A, riboflavin, and niacin was found to be approximately half of the reference values.

Conclusions: T2DM patients with uncontrolled blood glucose levels (i.e., HbA1c ≥ 6.5%) showed high BMI and WHR, with a staple wheat-based diet and low consumption of fruits and veg-etables. Macronutrient intake was sufficient except for fat, while micronutrient intake requires attention.

References

  • S17–S38. https://doi.org/10.2337/dc22-S002
  • Anjana, R. M., Deepa, M., Pradeepa, R., Mahanta, J., Narain, K., Das, H. K., … & Yajnik, C. S. (2017). Prevalence of diabetes and prediabetes in 15 states of India: results from the ICMR–INDIAB population-based cross-sectional study. The lancet Diabetes & endocrinology, 5(8), 585-596. https://doi.org/10.1016/S2213-8587(17)30174-2
  • Anjana, R. M., Unnikrishnan, R., Deepa, M., Pradeepa, R., Tandon, N., Das, A. K., … & Ghosh, S. (2023). Metabolic non-communicable disease health report of India: The ICMR-INDIAB national cross-sectional study (ICMR-INDIAB-17). The Lancet Diabetes & Endocrinology, 11(7), 474–489. https://doi.org/10.1016/S2213-8587(23)00119-5
  • Anjana, R. M., Unnikrishnan, R., Deepa, M., Venkatesan, U., Pradeepa, R., Joshi, S., … & Joshi, S. R. (2022). Achievement of guideline recommended diabetes treatment targets and health habits in people with self-reported diabetes in India (ICMR-INDIAB-13): A national cross-sectional study. The Lancet Diabetes & Endocrinology, 10(6), 430–441. https://doi.org/10.1016/S2213-8587(22)00072-9
  • Anyanwagu, U., Mamza, J., Donnelly, R., & Idris, I. (2019). Relationship between HbA1c and all-cause mortality in older patients with insulin-treated type 2 diabetes: Results of a large UK cohort study. Age and Ageing, 48(2), 235–240. https://doi.org/10.1093/ageing/afy178
  • Awasthi, A., Rao, C. R., Hegde, D. S., & Rao, K. (2017). Association between type 2 diabetes mellitus and anthropometric measurements—A case control study in South India. Journal of Preventive Medicine and Hygiene, 58(1), E56. https://pubmed.ncbi.nlm.nih.gov/28515633/
  • Bamji, M. S., Krishnaswamy, K., & Brahmam, G. M. V. (2019). Textbook of human nutrition (4th ed.). Oxford & IBH Publishing Co. Pvt. Ltd.
  • Banday, M. Z., Sameer, A. S., & Nissar, S. (2020). Pathophysiology of diabetes: An overview. Avicenna Journal of Medicine, 10(4), 174–188. https://doi.org/10.4103/ajm.ajm_53_20
  • Bhati, K., & Goyal, M. (2013). Nutritional and health status of diabetic patients. Studies in Home & Community Science, 7(1), 45–48.
  • Chauhan, S., Khatib, M. N., Ballal, S., Bansal, P., Bhopte, K., Gaidhane, A. M., … & Pant, M. (2025). The rising burden of diabetes and state-wise variations in India: insights from the Global Burden of Disease Study 1990–2021 and projections to 2031. Frontiers in Endocrinology, 16, 1505143. https://doi.org/10.3389/fendo.2025.1505143
  • Dandekar, S. P., & Rane, S. A. (2004). Practical and viva in medical biochemistry. Elsevier.
  • Devi, P., Pandiyan, V., Tma, S., Kumar, G., & Krishnan, P. (2021). Dietary supplementation of mustard oil reduces blood glucose levels by triggering the insulin receptor signalling pathway. International Journal of Diabetes in Developing Countries, 42, 1–12. https://doi.org/10.1007/s13410-021-00952-6
  • Dilworth, L., Stennett, D., Facey, A., Omoruyi, F., Mohansingh, S., & Omoruyi, F. O. (2024). Diabetes and the associated complications: The role of antioxidants in diabetes therapy and care. Biomedicine & Pharmacotherapy, 181, 11764. https://doi.org/10.1016/j.biopha.2024.117641
  • Dubey, P., Thakur, V., & Chattopadhyay, M. (2020). Role of minerals and trace elements in diabetes and insulin resistance. Nutrients, 12(6), 1864. https://doi.org/10.3390/nu12061864
  • Forbes, J. M., & Cooper, M. E. (2013). Mechanisms of diabetic complications. Physiological Reviews, 93(1), 137–188. https://doi.org/10.1152/physrev.00045.2011
  • Galicia-Garcia, U., Benito-Vicente, A., Jebari, S., Larrea-Sebal, A., Siddiqi, H., Uribe, K. B., Ostolaza, H., & Martín, C. (2020). Pathophysiology of type 2 diabetes mellitus. International Journal of Molecular Sciences, 21(17), 6275. https://doi.org/10.3390/ijms21176275
  • Garg, P., Pethusamy, K., & Ranjan, R. (2022). Correlation between estimated average glucose levels calculated from HbA1c values and random blood glucose levels in a cohort of subjects. Journal of Laboratory Physicians, 15(2), 217–223. https://doi.org/10.1055/s-0042-1757719
  • Iatcu, O. C., Lobiuc, A., & Covasa, M. (2024). Micronutrient patterns and low intake of vitamin A, vitamin D, folate, magnesium, and potassium among prediabetes and type 2 diabetes patients. Cureus, 16(5), e60906. https://doi.org/10.7759/cureus.60906
  • Indian Council of Medical Research. (2018). ICMR guidelines for management of type-2 diabetes 2018. https://main.icmr.nic.in/sites/default/files/guidelines/ICMR_GuidelinesType2diabetes2018_0.pdf
  • Indian Council of Medical Research. (2020). Nutrient requirements for Indians: Recommended dietary allowances and estimated average requirements. Ministry of Health and Family Welfare. https://www.scribd.com/document/526073382/RDA-2020-Full-Ver
  • Indian Council of Medical Research. (2024). Dietary guidelines for Indians: A manual. National Institute of Nutrition. https://nin.res.in/dietaryguidelines/pdfjs/locale/DGI_2024.pdf
  • Indian Institute of Population Sciences & ICF International. (2021). National Family Health Survey (NFHS-5), 2019–21: India report.
  • International Diabetes Federation. (2025). IDF diabetes atlas (10th ed.). https://diabetesatlas.org/resources/idf-diabetes-atlas-2025/
  • Itam, A. H., Ogarekpe, Y. M., Edem, B., Agboola, A. R., Okpara, H. C., & Okokon, E. O. (2022). Association between serum calcium concentration and glycated haemoglobin in type II diabetic Nigerian patients. BIOMED Natural and Applied Science, 2(3), 2532. https://doi.org/10.53858/bnas02032532
  • Jelliffe, D. B. (1966). The assessment of nutritional status of the community. World Health Organization.
  • Joshi, S. R., Bhansali, A., Bajaj, S., Banzal, S. S., Dharmalingam, M., Gupta, S., …& Joshi, S. S. (2014). Results from a dietary survey in an Indian T2DM population: A STARCH study. BMJ Open, 4(10), e005138. https://doi.org/10.1136/bmjopen-2014-005138
  • Kumar, P., Bhargava, S., Agarwal, P. K., Garg, A., & Khosla, A. (2019). Association of serum magnesium with type 2 diabetes mellitus and diabetic retinopathy. Journal of Family Medicine and Primary Care, 8(5), 1671–1677. https://doi.org/10.4103/jfmpc.jfmpc_83_19
  • Kumari, R., Singh, N., Karoli, R., Kandpal, S. D., Singh, S., & Ansari, A. (2025). Glycemic control and associated factors among type 2 diabetes mellitus patients at a tertiary health care facility. Indian Journal of Community Health, 37(2), 195–200. https://doi.org/10.47203/IJCH.2025.v37i02.004
  • Longvah, T., Ananthan, R., Bhaskarachary, K., & Venkaiah, K. (2017). Indian food composition tables. National Institute of Nutrition.
  • Mirmiran, P., Bahadoran, Z., & Azizi, F. (2014). Functional foods-based diet as a novel dietary approach for management of type 2 diabetes and its complications: A review. World Journal of Diabetes, 5(3), 267–281. https://doi.org/10.4239/wjd.v5.i3.267
  • Monapati, S., Kaki, P., Gurajapu, M. S., Subhas, P. G., & Kudipudi, H. B. (2023). The effects of vitamin D on preventing hyperglycemia and a novel approach to its treatment. Drugs and Drug Candidates, 2(4), 923–936. https://doi.org/10.3390/ddc2040046
  • Muralidharan, S. (2024). Diabetes and current Indian scenario: A narrative review. Journal of Diabetology, 15(1), 12–17. https://doi.org/10.4103/jod.jod_93_23
  • Naik, S. K., Ramanand, S. J., & Ramanand, J. B. (2019). A medley correlation of serum zinc with glycemic parameters in T2DM patients. Indian Journal of Endocrinology and Metabolism, 23(2), 188–192. https://doi.org/10.4103/ijem.IJEM_7_19
  • Peng, Y., Zhong, G. C., Mi, Q., Li, K., Wang, A., Li, L., … & Yang, G. (2017). Potassium measurements and risk of type 2 diabetes: a dose-response meta-analysis of prospective cohort studies. Oncotarget, 8(59), 100603. https://doi.org/10.18632/oncotarget.21823
  • Petroni, M. L., Brodosi, L., Marchignoli, F., Sasdelli, A. S., Caraceni, P., Marchesini, G., & Ravaioli, F. (2021). Nutrition in patients with type 2 diabetes: Present knowledge and remaining challenges. Nutrients, 13(8), 2748. https://doi.org/10.3390/nu13082748
  • Prathima, M., Shridhar, R. S., Kalal, B., & Ramarajan, M. (2020). Estimation of glycated haemoglobin by nephelometry, ion exchange resin and high-performance liquid chromatography: A cross-sectional study. Journal of Clinical and Diagnostic Research, 14, BC01–BC04. https://doi.org/10.7860/JCDR/2020/44408.13968
  • Raghuram, N., Anand, A., Mathur, D., Patil, S. S., Singh, A., Rajesh, S. K., … & Hongasandra, N. (2021). Prospective study of different staple diets of diabetic Indian population. Annals of Neurosciences, 28(3–4), 129–136. https://doi.org/10.1177/09727531211013972
  • Rajan, Y., Bhabhor, H., Kharde, A., Kakadiya, J., Varsadiya, K., & Damor, A. (2024). Poor glycaemic control and its risk factors among diabetes patients in an urban area of western India. National Journal of Community Medicine, 15(1), 47–55. https://doi.org/10.55489/njcm.150120243602
  • Rosenfeld, R. M., Kelly, J. H., Agarwal, M., Aspry, K., Barnett, T., Davis, B. C., … & Karlsen, M. C. (2022). Dietary interventions to treat type 2 diabetes in adults with a goal of remission: An expert consensus statement. American Journal of Lifestyle Medicine, 16(3), 342–362. https://doi.org/10.1177/15598276221087624
  • Saaty, A. H., & Aljadani, H. M. (2024). Comparison of food intake pattern of diabetic patients and healthy individuals in a sample of Saudi population: A case-control study. BMC Public Health, 24(1), 1590. https://doi.org/10.1186/s12889-024-19064-x
  • Sachdev, M., & Misra, A. (2023). Heterogeneity of dietary practices in India: Current status and implications for the prevention and control of type 2 diabetes. European Journal of Clinical Nutrition, 77(2), 145–155. https://doi.org/10.1038/s41430-021-01067-1
  • Saleem, S. M., & Jan, S. S. (2021). Modified Kuppuswamy socioeconomic scale updated for the year 2021. Indian Journal of Forensic and Community Medicine, 8(1), 1–3. https://doi.org/10.18231/j.ijfcm.2021.001
  • Sayedali, E., Yalin, A. E., & Yalin, S. (2023). Association between metformin and vitamin B12 deficiency in patients with type 2 diabetes. World Journal of Diabetes, 14(5), 585–593. https://doi.org/10.4239/wjd.v14.i5.585
  • Sherwani, S. I., Khan, H. A., Ekhzaimy, A., Masood, A., & Sakharkar, M. K. (2016). Significance of HbA1c test in diagnosis and prognosis of diabetic patients. Biomarker Insights, 11, BMI-S38440. https://doi.org/10.4137/BMI.S38440
  • Song, Y., Cook, N. R., Albert, C. M., Van Denburgh, M., & Manson, J. E. (2009). Effects of vitamins C and E and beta-carotene on the risk of type 2 diabetes in women at high risk of cardiovascular disease: A randomized controlled trial. The American Journal of Clinical Nutrition, 90(2), 429–437. https://doi.org/10.3945/ajcn.2009.27491
  • Suvarna, R., Nasir, M. A., Stanley, W., & Prabhu, M. M. (2022). Anthropometric indices and type 2 diabetes mellitus as a risk factor in predicting nonalcoholic fatty liver disease. Indian Journal of Community Medicine, 47(3), 386–390. https://doi.org/10.4103/ijcm.ijcm_1213_21
  • Trinder, P. (1969). Determination of glucose in blood using glucose oxidase with an alternative oxygen acceptor. Annals of Clinical Biochemistry, 6(1), 24–27. https://doi.org/10.1177/000456326900600108
  • Unnikrishnan, R., Anjana, R. M., & Mohan, V. (2014). Diabetes in South Asians: Is the phenotype different? Diabetes, 63(1), 53–55. https://doi.org/10.2337/db13-1592
  • World Health Organization. (2011). Use of glycated haemoglobin (HbA1c) in diagnosis of diabetes mellitus: Abbreviated report of a WHO consultation. https://apps.who.int/iris/handle/10665/70523
  • Xu, J., Eilat-Adar, S., Loria, C. M., Howard, B. V., Fabsitz, R. R., Begum, M., … & Lee, E. T. (2007). Macronutrient intake and glycemic control in a population-based sample of American Indians with diabetes: the Strong Heart Study. The American journal of clinical nutrition, 86(2), 480-487.
  • Yu, X., Liu, X., & Li, H. (2025). Nutrient metabolism and complications of type 2 diabetes mellitus: Implications for rehabilitation and precision care. Frontiers in Nutrition, 12, 1699259. https://doi.org/10.3389/fnut.2025.1699259

How to Cite

Kavita Kachhawa, Sarla Lakhawat, and Rakesh Kumar Saini. Anthropometric Measurements and Nutrient Intake Among Type 2 Diabetic Mellitus (T2DM) Patients with Poor Glycaemic Control: A Cross-sectional Survey.. J. Multidiscip. Res. Healthcare. 2025, 12, 73-85
Anthropometric Measurements and Nutrient Intake Among Type 2 Diabetic Mellitus (T2DM) Patients with Poor Glycaemic Control: A Cross-sectional Survey.

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